The endoscopic retromuscular repair of ventral hernia: the eTEP technique and early results

Radu, Victor Gheorghe; Mircea, Lica

doi:10.1007/s10029-019-01931-x

Cited by 68 publications

(41 citation statements)

References 16 publications

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“…Since LeBlanc first reported laparoscopic approach to ventral hernia repair with the IPOM technique, its advantages were rapidly appreciated especially decreased wound complications, improved cosmesis, and faster recovery [5]. However, there are mesh- and tacker-related complications with IPOM, and the purpose of evolving laparoscopic ventral hernia repairs is avoiding the placement of a prosthetic mesh in an intraperitoneal position and the direct contact with intraperitoneal organs [6–11]. The retrorectus approach to these difficult hernias has been tested well by the open technique, and we ventured to approach if a minimally invasive technique is feasible.…”

Section: Discussionmentioning

confidence: 99%

e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases

Shakya

Byanjankar

Pandit

et al. 2019

Case Reports in Surgery

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Introduction. Recurrent incisional hernias are difficult to treat. There are many factors involved in the recurrence, and due to extensive dissections, the planes are fused with adhesions, and we may need a new plane for dissection and placement of meshes. Case Report. We report here three cases of recurrent incisional hernias which were dealt by a relatively new method to laparoscopy: the enhanced view totally extraperitoneal repair (e-TEP) retromuscular technique. There were three patients: one after an open onlay repair of lower midline incision, another after an onlay mesh repair of a subcostal incision for open cholecystectomy followed by an intraperitoneal onlay mesh hernioplasty (IPOM) repair, and another after IPOM repair of epigastric hernia. They were treated with the abovementioned technique with satisfying short-term results. Conclusion. The e-TEP technique is a relatively new method of providing minimal access surgery to these patients utilizing the previously unaccessed retromuscular (Rives and/or preperitoneal) space for the repair of these recurrent incisional hernias.

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Section: Discussionmentioning

confidence: 99%

e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases

Shakya

Byanjankar

Pandit

et al. 2019

Case Reports in Surgery

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“…The main reasons were the great technical difficulty of the procedure and the long operative time. However, this situation has changed in the last 2 years, as many articles about this emerging technique from different countries have been published [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

“…Köhler and Baig operated on ventral hernias employing an extended totally extraperitoneal (also eTEP) approach [6,7]. Similarly, several other scholars reported their cases with totally extraperitoneal sublay (TES) repair [8][9][10][11]. Prasad, Schroeder, and Masurkar reported cases in which they performed transabdominal sublay (TAS) repair based on the inguinal hernia transabdominal preperitoneal (TAPP) approach [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China

Tang

Jiang²,

et al. 2020

BMC Surg

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Background For ventral hernia, endoscopic sublay repair (ESR) may overcome the disadvantages of open sublay and laparoscopic intraperitoneal onlay mesh repair. This retrospective study presents the preliminary multicenter results of ESR from China. The feasibility, safety, and effectiveness of ESR were evaluated; its surgical points and indications were summarized. Methods The study reviewed 156 ventral hernia patients planned to perform with ESR in ten hospitals between March 2016 and July 2019. Patient demographics, hernia characteristics, operative variables, and surgical results were recorded and analyzed. Results ESR was performed successfully in 153 patients, 135 with totally extraperitoneal sublay (TES) and 18 with transabdominal sublay (TAS). In 19 patients, TES was performed with the total visceral sac separation (TVS) technique, in which the space separation is carried out along the peritoneum, avoiding damage to the aponeurotic structure. Endoscopic transversus abdominis release (eTAR) was required in 17.0% of patients, and only 18.3% of patients required permanent mesh fixation. The median operative time was 135 min. Most patients had mild pain and resume eating soon after operation. No severe intraoperative complications occurred. Bleeding in the extraperitoneal space occurred in two patients and was stopped by nonsurgical treatment. Seroma and chronic pain were observed in 5.23 and 3.07% of patients. One recurrence occurred after TAS repair for an umbilical hernia. Conclusion ESR is feasible, safe, and effective for treating ventral hernias when surgeons get the relevant surgical skills, such as the technique of “partition breaking,” TVS, and eTAR. Small-to-medium ventral hernias are the major indications.

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“…The main reasons were the great technical di culty of the procedure and the long operative time. However, this situation has changed in the last 2 years, as many articles about this emerging technique from different countries have been published (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Introductionmentioning

confidence: 99%

A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China

Tang

Jiang

et al. 2020

Preprint

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Background: For ventral hernia, endoscopic sublay repair (ESR) may overcome the disadvantages of open sublay and laparoscopic intraperitoneal onlay mesh repair. This retrospective study presents the preliminary multicenter results of ESR from China. The feasibility, safety, and effectiveness of ESR were evaluated; its surgical points and indications were summarized. Methods: The study reviewed 156 ventral hernia patients planned to perform with ESR in ten hospitals between March 2016 and July 2019. Patient demographics, hernia characteristics, operative variables, and surgical results were recorded and analyzed.Results: ESR was performed successfully in 153 patients, 135 with totally extraperitoneal sublay (TES) and 18 with transabdominal sublay (TAS). In 19 patients, TES was performed with the total visceral sac separation (TVS) technique, in which the space separation is carried out along the peritoneum, avoiding damage to the aponeurotic structure. Endoscopic transversus abdominis release (eTAR) was required in 17.0% of patients, and only 18.3% of patients required permanent mesh fixation. The median operative time was 135 min. Most patients had mild pain and resume eating soon after operation. No severe intraoperative complications occurred. Bleeding in the extraperitoneal space occurred in two patients and was stopped by nonsurgical treatment. Seroma and chronic pain were observed in 5.23% and 3.07% of patients. One recurrence occurred after TAS repair for an umbilical hernia.Conclusion: ESR is feasible, safe, and effective for treating ventral hernias when surgeons get the relevant surgical skills, such as the technique of “partition breaking,” TVS, and eTAR. Small-to-medium ventral hernias are the major indications.

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The endoscopic retromuscular repair of ventral hernia: the eTEP technique and early results

Cited by 68 publications

References 16 publications

e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases

e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases

A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China

A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China

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